Sr No	Product Name	Weight	Price	Action
Total Amount	₹0.00

Payment Confirmation Form:

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Order Form

1. Name of the person placing this order:

2. Address of the person placing this order:

3. Phone Number of the person ordering:

4. Different Phone Number for delivery (No or Yes):

5. Different Name for delivery (No or Yes):

6. Different Address for delivery (No or Yes):

7. Date to be delivered:

8. Time of delivery:

9. Mode of delivery:

10. Any Other Request for the Special Order: